1. Home
  2. Directory
  3. Tennessee
  4. Madison
  5. Internal Medicine
  6. NPI Profile

CENTERWELL SENIOR PRIMARY CARE-MADISON
NPI 1366169278
Internal Medicine in Madison, TN

Active since October 21, 2022CLIA 44D2281252 · Waiver
2009 GALLATIN PIKE NORTH, MADISON, TN 37115(615) 988-4055(877) 721-6419 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Aug 11, 2023, Oct 21, 2022 (3 updates tracked since 2022).

About Centerwell Senior Primary Care-madison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE-MADISON (NPI 1366169278) is a healthcare organization registered as an internal medicine in Madison, Tennessee and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1366169278
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE TN PC
Location Address2009 GALLATIN PIKE NORTHMadison, TN 37115
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(615) 988-4055
Fax(877) 721-6419
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 21, 2022
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1366169278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
2009 GALLATIN PIKE NORTH, Madison, TN 37115
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-madison

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2281252

Centerwell Senior Primary Care-Madison · Madison, TN
Active · expires May 3, 2027
CLIA Number44D2281252
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDr. Erica L. Savage-Jeter
Laboratory Phone(615) 988-4055
Laboratory LocationCenterwell Senior Primary Care-Madison2009 Gallatin Pike North, Madison, TN 37115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care Tn PC's NPI number?

The NPI number for Centerwell Senior Primary Care Tn PC is 1366169278. It was assigned to this organization in the NPPES registry on October 21, 2022. The provider is doing business as Centerwell Senior Primary Care-Madison.

Where is Centerwell Senior Primary Care Tn PC located?

Centerwell Senior Primary Care Tn PC is located at 2009 Gallatin Pike North, Madison, TN 37115. The listed phone number is (615) 988-4055.

What is Centerwell Senior Primary Care Tn PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Tn PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2281252) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Tn PC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.